Provider Demographics
NPI:1922312727
Name:SIMONDS, SEAN R (DPT)
Entity Type:Individual
Prefix:
First Name:SEAN
Middle Name:R
Last Name:SIMONDS
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:408 HIGUERA ST STE 200
Mailing Address - Street 2:
Mailing Address - City:SAN LUIS OBISPO
Mailing Address - State:CA
Mailing Address - Zip Code:93401-6135
Mailing Address - Country:US
Mailing Address - Phone:805-788-0805
Mailing Address - Fax:805-788-0845
Practice Address - Street 1:20 GALA DR
Practice Address - Street 2:STE G104
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-8209
Practice Address - Country:US
Practice Address - Phone:828-484-4200
Practice Address - Fax:828-585-6659
Is Sole Proprietor?:No
Enumeration Date:2010-08-04
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ9825225100000X
NCP15418225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist